Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $45,708.82	Facility		$6,309.57	$6,309.57	$45,708.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,456.54 / $40,738.03	Professional		$4,786.30	$6,456.54	$40,738.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $25,118.86	Facility		$4,897.79	$6,165.95	$25,118.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $14,125.38	Professional		$6,456.54	$6,456.54	$14,125.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $18,620.87 / $25,118.86	Facility		$100.00	$18,620.87	$25,118.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $19,952.62 / $33,884.42	Professional		$10,232.93	$19,952.62	$33,884.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $8,317.64	Facility		$5,011.87	$8,317.64	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,317.64	Professional		$6,025.60	$6,025.60	$8,317.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $12,882.50	Professional		$3,801.89	$4,786.30	$12,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,772.37 / $16,982.44	Professional		$6,456.54	$9,772.37	$16,982.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $56,234.13 / $56,234.13	Facility		$56,234.13	$56,234.13	$56,234.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $69,183.10 / $97,723.72 / $97,723.72	Professional		$69,183.10	$97,723.72	$97,723.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Professional		$13,803.84	$13,803.84	$13,803.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,471.29 / $14,125.38	Facility		$3,630.78	$10,471.29	$14,125.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $10,471.29	Professional		$6,025.60	$6,025.60	$10,471.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $19,952.62	Professional		$19,952.62	$19,952.62	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $7,079.46 / $14,454.40	Facility		$870.96	$7,079.46	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,456.54 / $10,715.19	Professional		$4,897.79	$6,456.54	$10,715.19